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Influence of standardized grading transfer program in department of emergency obstetrics and gynecology of critically ill patients on nosocomial transfer |
ZHU Jingyang ZHANG Zhenyu |
Emergency Room, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100026, China |
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Abstract Objective To observe the impact of standardized grading transfer program on nosocomial transfer of critically ill patients in department of emergency obstetrics and gynecology, and to provide a reference for the smooth implementation of standardized grading transfer program. Methods A cluster sampling method was used to retrospectively analyze the clinical data of 200 patients with critical gynecology and obstetrics in Beijing Obstetrics and Gynecology Hospital, Capital Medical University (hereinafter referred to as “our hospital”) from January to December 2017, as the control group. Retrospectively analyze the clinical data of 220 gynecological and critically ill patients after the standardized grading transfer program were carried out in our hospital from January to December 2018, as the observation group. The incidence of adverse events during the transfer, the time of completion of the transfer, and nursing satisfaction were compared between the two groups. Results The incidence of falling bed, vaginal bleeding, worsening of the condition and abnormal fetal movement during the transportation of the observation group were significantly lower than those of the control group, and the differences were statistically significant (P < 0.05). The various time for completing the transfer in the observation group were significantly shorter than those in the control group, and the differences were statistically significant (P < 0.05). The nursing satisfaction of the observation group was significantly higher than that of the control group, and the difference was statistically significant (P < 0.05). Conclusion The development and implementation of the standardized grading transfer program can reduce the incidence of adverse events in nosocomial transport of critically ill patients in the department of emergency, significantly shorten the time of transport, and improve satisfaction. It is recommended to carry out and implement nosocomial transport of critically ill patients in our hospital to improve transport safety.
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[1] Zheng G,Cao J,Yu J,et al. Risk factors for death in children with critical and severe hand-foot-and-mouth disease in Chongqing,China:An observational study [J]. Medicine,2017,96(49):e8934.
[2] 时林.急诊内科优质无缝隙护理的应用效果[J].实用临床医药杂志,2016,20(10):26-28.
[3] Sánchez M,Suárez M,Asenjo M,et al. Improvement of emergency department patient flow using lean thinking [J]. Int J Qual Health Care,2018,30(4):1438-1446.
[4] Peng M,Li B,Southern DA,et al. Constructing Episodes of Inpatient Care:How to Define Hospital Transfer in Hospital Administrative Health Data? [J]. Med Care,2016,55(1):74-78.
[5] 刘容,邱艳,李湖波,等.标准化分级转运方案在急诊危重症患者院内转运中的应用及效果[J].中国实用护理杂志,2019,35(23):1798-1802.
[6] 岳磊于,石贞仙.标准化分级转运方案对急诊ICU病人院内转运时血氧饱和度的影响[J].护理研究,2019,33(12):2024-2028.
[7] 裘文娟,陈肖敏,俞永美.安全转运程序管理在院内危重患者转运中的应用[J].中国护理管理,2016,16(1):58-61.
[8] 李美佳,席文.急诊护理流程优化在妇科腹腔内出血患者抢救中的应用效果[J].实用临床医药杂志,2018,22(4):103-106.
[9] Hwang SY,Lee JH,Lee YH,et al. Comparison of the Seq-uential Organ Failure Assessment, Acute Physiology and Chronic Health Evaluation Ⅱ scoring system,and Trauma and Injury Severity Score method for predicting the outcomes of intensive care unit trauma patients [J]. Am J Emerg Med,2012,30(5):749-753.
[10] 急诊危重症患者院内转运共识专家组.急诊危重症患者院内转运共识——标准化分级转运方案[J].中国急救医学,2017,37(6):481-485.
[11] 曹丽.急诊预检分诊系统的应用及效果评价[J].中国数字医学,2016,11(4):58-60.
[12] 夏志洁,冒山林,曹隽,等.急诊-综合ICU一体化管理对急诊医疗安全效果的评价[J].中华急诊医学杂志,2017, 26(12):1469-1471.
[13] 周晓艳,陈梅.多学科协作模式下快速康复流程在妇科恶性肿瘤患者中的应用[J].中华现代护理杂志,2018, 24(11):1275-1279.
[14] 急诊危重症患者院内转运共识专家组.急诊危重症患者院内转运共识——标准化分级转运方案[J].中华急诊医学杂志,2017,26(5):512-516.
[15] 王芳,顾纪芳,刘庆芬,等.多学科合作的流程管理在急诊危重症患者院内转运中的应用效果[J].中华全科医学,2019,17(4):674-677.
[16] 石颖,吴靖,麦咏欢,等.急诊危重患者院内安全转运护理进展[J].中外医学研究,2018,16(7):184-186.
[17] 荣晓旭,任国琴,周媛婷.标准化沟通模式在外科手术患者转运交接中的应用[J].中华现代护理杂志,2017, 23(27):3457-3460.
[18] Gillette C,Rudolph M,Rockich-Winston N,et al. Improving Pharmacy Student Communication Outcomes Using Standardized Patients [J]. Am J Pharm Educ,2017, 81(6):110.
[19] 丁万红,夏海鸥,徐春芬,等.急诊危重症患者院内转运流程的建立和应用评价[J].护理学杂志,2016,31(21):51-55.
[20] 吴海燕.急危重症心脏病患者转运交接过程中无缝隙护理管理模式的有效性的临床研究[J].中国医药科学,2018,8(23):156-158.
[21] 廖生武,蔡旺,刘杰.医院门急诊科室培训医师开展人性化服务的探索[J].中国医药导报,2018,15(4):146-150.
[22] 史冬雷,张红梅,高健,等.分级转运模式在急诊危重症患者院内转运中实施的效果评价[J].中国护理管理,2016, 16(5):639-642. |
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